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[招风耳矫正的手术原则]

[Surgical principles in the correction of loop ears].

作者信息

Zigiotti G L, Siragò P

出版信息

Acta Otorhinolaryngol Ital. 1989 Jul-Aug;9(4):403-11.

PMID:2618656
Abstract

After listing the deformities which may be found in loop ears, a surgical technique for the correction of such deformities is presented. This technique is based on elements taken from several forms of surgery which, together with a small personal contribution, make it possible to totally correct such deformities, achieving excellent esthetic results. To reconstruct the anthelix an anterior surgical incision is made below the helix. The cartilage between the helix and the scafa is likewise interrupted thus preventing the helix from also bending along with the anthelix. When necessary the cartilage is resected in order to modify the diameter of the auricle. Exposing the anthelix cartilage makes it possible to optimize reconstruction of the anthelix body and crus. After only a few weeks the scar on the anterior helix sulcus proves unnoticeable. The one objection which may be made in this regard is that there is a scar in the anterior sulcus of the helix which, using another means of approach, may be avoided (especially in surgery were esthetic results must be optimal). The authors feel that the results obtained with this method are superior to those achieved with other methods (as they themselves had used in the past) and that the scar proves well hidden in the helix sulcus. In order to correct dislocation and hypertrophy of the conch, if present, a posterior retroauricular approach is employed. The conch is reduced as much as necessary, the ear brought closer to the mastoid and held in place with sutures knotted on oiled gauze inside the conch.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在列举了招风耳可能存在的畸形之后,本文介绍了一种矫正此类畸形的手术技术。该技术基于多种手术方式的要素,并融入了个人的一点创新,从而能够完全矫正此类畸形,获得极佳的美学效果。为重建对耳轮,在耳轮下方做一个前侧手术切口。耳轮与耳舟之间的软骨也被切断,这样可防止耳轮随对耳轮一起弯曲。必要时切除软骨以改变耳廓直径。暴露对耳轮软骨有助于优化对耳轮体部和脚的重建。几周后,耳轮前沟处的瘢痕就不明显了。对此可能提出的一个异议是,耳轮前沟处会留下瘢痕,而采用另一种手术入路或许可以避免(尤其是在美学效果必须达到最佳的手术中)。作者认为,用这种方法获得的结果优于其他方法(就像他们自己过去使用的方法),而且瘢痕在耳轮沟中很隐蔽。为矫正耳甲错位和肥大(如果存在的话),采用耳后后侧入路。将耳甲尽可能复位,使耳朵更贴近乳突,并用缝线固定在耳甲内涂油纱布上打结。(摘要截选至250字)

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